| Article Details : |
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| | | Article Name : | | | The Prevalence of Methicillin resistant
Staphylococcus aureus among Surgical Patients at
Kosti Teaching Hospital, Kosti – Sudan | | Author Name : | | | OMER MOHAMMED ALI IBRAHIM, MOHAMMED ELTOUM HAMED AZOZ | | Publisher : | | | Bridge Center | | Article URL : |  | | | Abstract : | | | Background: Methicillin Resistant Staphylococcus aureus is
a serious clinical and epidemiological problem with limited treatment
options
Objectives: The aim of this study was to determine the
prevalence and antimicrobial susceptibilities of Methicillin Resistant
Staphylococcus aureus nasal carriage and wound infections among
patients at Kosti teaching hospital, Sudan.
Methods: The study was carried out from March 2013 to
December 2014. It is a prospective descriptive cross sectional study.
Two hundred and thirty two patients were enrolled in the study. A
nasal swab and a wound swab were obtained for culture, from each
participant. Staphylococcus aureus strains were isolated and
identified by the conventional techniques. Methicillin Resistant
Staphylococcus aureus was confirmed by cefoxitin disc diffusion test
and Methicillin Resistant Staphylococcus aureus- latex agglutination
test. Antimicrobial susceptibilities to 8 antibiotics were performed by
CLSI disc diffusion technique.
Results: The prevalence of Methicillin Resistant
Staphylococcus aureus in interior narses was 19/232 (8.2%), and it
was 26/232 (11.2%) in wound infections, most isolates of MRSA
32/45(71.1%) were hospital acquired. There was a significant relationship between Methicillin Resistant Staphylococcus aureus
wound infections and nasal carriage (P =.002).There was no effect of
gender or age on distribution of Methicillin Resistant Staphylococcus
aureus in interior narses or wound infections. Methicillin Resistant
Staphylococcus aureus showed high susceptibility to vancomycin
94.3%, followed by clindamycin 88.6%. However, resistant to
cotrimoxazole, erythromycin, cephalothin and amoxicillin-clavulanic
acid was significantly associated with the Methicillin Resistant
Staphylococcus aureus (P? 0.001 for each).
Conclusion: There is a high prevelance of Methicillin
Resistant Staphylococcus aureus nasal carriage and wound infections
among patients at Kosti teaching hospital. Most of the isolates are
susceptible to vancomycin. | | Keywords : | | | Prevalence methicillin resistant staphylococcus aureus
among surgical patients. |
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